Treatment of uterine fibroids by gynecologist Roman Mikhailovich Banakhevich in the city of Dnipro

Patients often present with complaints of prolonged or heavy menstruation, lower abdominal pain, a feeling of pressure in the pelvis, or suspicion of neoplasms.

The doctor conducts a thorough clinical examination, reviews the medical history, and, if necessary, orders additional tests to accurately understand the condition.

The patient receives a detailed and clear action plan, including recommendations for further diagnostic procedures and monitoring of changes.

A distinctive feature of the doctor's work is in-depth differential diagnosis of the causes and careful observation of the condition's dynamics, which helps to adjust treatment considering individual characteristics and comorbidities.

When to See a Doctor

Sometimes symptoms related to pelvic health can cause concern and affect your quality of life. Consulting a gynecologist helps to understand the causes of these changes and to develop an appropriate plan for examination and treatment. You should make an appointment with a gynecologist if, during treatment for uterine fibroids, you notice:

• persistent pulling or sharp pains in the lower abdomen
• unusually heavy or prolonged menstrual bleeding
• a feeling of pressure or fullness in the pelvic area
• irregular menstruation with changes in their pattern
• periodic pain during sexual intercourse
• abdominal enlargement or a palpable lump
• recurring symptoms that do not go away or worsen over time
• symptoms interfering with work, sleep, or daily activities
• no improvement after trying to relieve the condition on your own or following previous treatment
• the sudden appearance of worrisome symptoms that were not present before
• recurring unpleasant sensations related to the menstrual cycle
• the need to clarify the treatment plan and monitor the condition in chronic cases

Seeing a doctor is important to rule out complications and determine which examinations and treatment methods are most suitable for you. Even if symptoms seem minor, a detailed discussion with a doctor will help you better understand your condition and receive timely care.

Emergency Conditions or When to See a Doctor Immediately

• sudden and severe pain in the lower abdomen
• rapid deterioration of overall condition with extreme weakness or dizziness
• increasing vaginal bleeding that does not stop or worsens
• combination of pain with fever and chills
• sudden abdominal swelling or a feeling of intense pressure

If you experience any of these symptoms, do not wait for a scheduled appointment—seek emergency medical help immediately. Our clinic offers a home visit service for prompt response to urgent conditions.

Causes and Risk Factors

Understanding the possible causes and risk factors helps to better comprehend the origins of uterine fibroids and allows identifying key points to discuss with a doctor and to check. Such an assessment requires careful analysis and additional examinations.

Main Causes / Mechanisms (Briefly)

• may be related to hormonal imbalance, especially disruption of estrogen levels
• often associated with changes in blood circulation in uterine tissues
• development of fibroids may be influenced by hereditary predisposition
• the impact of chronic inflammation or traumatic changes in the uterus
• increased stress and deterioration of overall health may contribute to development

Risk Factors

• age over 30, when hormonal background changes
• hereditary tendency to gynecological diseases
• obesity, leading to hormonal imbalance
• prolonged absence of pregnancy or infrequent childbirth
• chronic hormonal disorders and menstrual cycle irregularities
• regular smoking and harmful habits
• frequent stress and lowered immunity
• long-term use of hormonal medications without medical supervision

Reversible Causes That Should Be Ruled Out

• hormonal disruptions related to medication or contraceptive use
• inflammatory processes in pelvic organs
• consequences of recent surgeries or injuries in the pelvic area

Uterine fibroids are a complex condition, making it important to identify causes and risk factors individually for each patient, based on medical examinations and dynamic monitoring.

Diagnostics

Diagnostics in the treatment of uterine fibroids aim to gain a comprehensive understanding of the condition and select the optimal approach. The doctor conducts a step-by-step examination to accurately determine the causes of symptoms and assess the extent of changes.

Diagnostic Approach

• Taking medical history with questions about symptoms and previous illnesses
• Gynecological examination to assess the condition of the pelvic organs
• Basic laboratory tests as indicated
• Ultrasound examination of the uterus and adnexa
• Additional tests (e.g., MRI, hysteroscopy) if necessary
• Interpretation of results and discussion of the plan for further monitoring or treatment

Typical Investigations as Indicated

• Ultrasound (US) examination of the pelvic organs
• Magnetic resonance imaging (MRI) to clarify the structure and location of the tumor
• Hysteroscopy — inspection of the uterine cavity using a camera
• Blood laboratory tests and hormonal assays
• Biopsy if needed to exclude other pathologies

What to Bring to the Appointment

• Results of previous examinations and tests
• List of current medications and supplements
• Records of symptoms or changes in condition
• Information about any previously undergone surgeries or procedures in the pelvic area

The diagnosis of uterine fibroids is performed individually, taking into account the specifics of each patient, which helps to develop a clear and informed plan of action.

Treatment

Treatment of uterine fibroids is aimed at reducing symptoms and improving quality of life. The therapy plan is tailored individually, taking into account each patient's specific characteristics and requires evaluation by a physician.

Goals of Therapy

• reduce the severity of symptoms and discomfort
• slow the growth of fibroids and address the underlying causes
• restore normal function of pelvic organs
• prevent possible complications and deterioration

Main Treatment Approaches

• may include medication therapy to control symptoms and hormonal balance
• non-medication methods to improve overall condition and support the body
• minimally invasive surgical interventions as indicated to preserve organs
• monitoring and dynamic control with treatment plan adjustments as needed
• a comprehensive approach considering comorbidities and individual characteristics

What the Doctor Does

• selects and adjusts the therapeutic strategy based on the body's response
• assesses the impact of treatment on comorbid conditions
• monitors possible side effects and works to minimize them
• explains to the patient the goals and criteria for assessing therapy effectiveness
• coordinates treatment with other specialists if necessary

What to Expect: Plan and Monitoring

• approximately determines the timeframe for evaluating therapy results considering individual factors
• schedules regular check-ups and examinations to monitor progress
• adjusts the treatment plan if the desired effect is not achieved or side effects occur
• maintains communication with the patient for timely response to changes

To arrange an individualized treatment plan, please schedule a consultation with Dr. Roman Mikhailovich Banakhevich.

Prevention

Prevention helps reduce the risk of developing uterine fibroids and improves overall health. The prevention plan is tailored individually, taking into account risk factors and the characteristics of the body.

Main Primary Prevention Measures

• monitoring hormonal balance and consulting a doctor promptly when changes occur
• maintaining a healthy weight and avoiding harmful habits
• timely treatment of inflammatory diseases of the pelvic organs as indicated
• regular physical activity according to specialist recommendations
• reducing stress levels and improving sleep quality
• managing chronic diseases that affect hormonal balance

Screening and Secondary Prevention / Regular Monitoring

• regular examinations by a gynecologist as recommended by the doctor
• pelvic ultrasound examination as indicated
• monitoring the menstrual cycle and reproductive system health
• observing symptom changes and seeking timely medical advice if symptoms worsen

Practical Advice

• pay attention to new or worsening symptoms and discuss them with your doctor
• maintain a balanced diet and a healthy lifestyle
• avoid long-term use of hormonal medications without consulting your doctor
• discuss with your doctor methods to reduce exposure to risk factors
• plan regular visits to the gynecologist for assessment

Preventive measures for uterine fibroids help control the condition and minimize possible complications, so it is important to discuss them individually with your doctor.

Important to Know

Treatment of uterine fibroids is a comprehensive process that requires careful assessment of the condition and monitoring of its progression. It is important not to focus solely on symptom relief but to understand the factors influencing the development and growth of the fibroid. Timely consultation with a doctor helps to choose the most appropriate strategy and reduce the risk of complications. The treatment plan may be adjusted depending on changes in the condition and the results of examinations. General factors such as stress, workload, and comorbidities can also affect the course of the disease.

• it is important to identify causes and provoking factors, not just alleviate symptoms
• early consultation helps to select an appropriate plan and reduce the likelihood of complications
• dynamic monitoring allows timely adjustments to treatment if necessary
• factors like stress levels, quality of sleep, and accompanying conditions can influence the progression
• self-treatment can complicate diagnosis and lead to side effects
• a comprehensive approach includes considering all aspects of the condition and individual patient characteristics

When you visit our clinic, you will receive an assessment that takes all factors into account, along with recommendations tailored specifically to your situation. Accurate and consistent collaboration with your doctor helps control your condition and choose optimal therapy options. For more detailed information, we recommend visiting the general page where important aspects of diagnosis and treatment are explained.

Self-care Before the Appointment: What You Can and Cannot Do

Before your appointment with Dr. Roman Mikhailovich Banakhevich, it is important to know which steps you can safely take and which ones you should avoid in order not to harm yourself or complicate the diagnosis. If your condition worsens, seek professional help immediately.

What You Can Do Before the Appointment

• Write down the onset and nature of your symptoms, the time they appeared, and the circumstances
• Keep a symptom diary: note intensity, triggers, and time of day
• Bring a complete list of medications and supplements you are taking
• Measure and record your temperature if you have a fever or feel unwell
• Reduce physical activity and ensure you get rest before the visit
• Drink enough water to avoid dehydration
• Record any changes in your condition that you notice before the appointment
• Use simple pain relievers if necessary, provided they are generally safe for you and you have no contraindications

What You Should Not Do Before the Appointment

• Do not stop or change your treatment without consulting your doctor
• Do not start taking new medications or combining treatments without medical advice
• Do not use unproven folk remedies or treatment methods
• Do not ignore worsening symptoms or the appearance of new alarming signs
• Do not self-diagnose based on information from the internet
• Do not delay seeing the doctor if symptoms worsen or do not improve
• Do not interpret test results and examinations on your own

If you experience emergency symptoms or a sudden worsening of your condition, seek immediate assistance from Dr. Roman Mikhailovich Banakhevich.

How I Can Help as a Doctor with the Treatment of Uterine Fibroids

During a consultation for the treatment of uterine fibroids, I can assist you in the following ways: identify the causes of symptoms, assess the current condition and risks, and develop a clear plan for further actions. Together, we will build a strategy that takes into account all the specifics of your health and needs.

• Analyze symptoms and medical history to identify possible causes of changes
• Assess the severity of symptoms and potential health risks
• Review current medications and therapy tolerance, suggesting adjustments if necessary
• Develop a plan for next steps: examinations, treatment, and monitoring as indicated
• Consider comorbidities and concurrent medications to ensure therapy safety
• Provide lifestyle and routine recommendations tailored to your individual characteristics
• Explain monitoring criteria and inform you when it is important to seek follow-up care
• Conduct initial diagnostics to determine causes, including differential diagnosis
• Monitor treatment effectiveness and adjust the plan if there is insufficient response or side effects

Medical care for uterine fibroids is not just about prescribing medications but involves a comprehensive approach aimed at understanding the situation and ongoing monitoring. This approach allows timely adjustments to treatment and prevention of complications, thereby improving your quality of life.

What questions can you ask a doctor when treating uterine fibroids

During your appointment regarding uterine fibroid treatment, you can discuss the following issues with Roman Mikhailovich Banakhevich:

• menstrual cycle irregularities, heavy or prolonged periods
• lower abdominal pain or a feeling of pressure in the pelvic area
• abdominal enlargement or the sensation of a lump
• painful sensations during sexual intercourse
• recurring or worsening symptoms that cause concern
• lack of improvement with the current prescribed treatment
• need for a second opinion or review of previous examinations

In case of sudden sharp pain, heavy bleeding, or a rapid deterioration in general condition — urgent medical attention is required; do not wait for a scheduled appointment.

Questions you can ask during the consultation

• What is happening to me and what could it be?
• Why have the symptoms appeared now?
• How can uterine fibroids be distinguished from other problems?
• What examinations are necessary in my particular case?
• Which tests and investigations are mandatory?
• How should I properly prepare for the examination and appointment?
• What treatment options are available and how do they differ?
• Is it possible to manage without surgery or medication?
• Why is the prescribed treatment not helping and what should I do next?
• How long does the treatment last and how often should I come for check-ups?
• What signs indicate that my condition is improving or worsening?
• What should I do if symptoms suddenly worsen or flare up?

By consulting a specialist, you will receive explanations for your questions and a professional assessment of your condition. The doctor will help determine what measures are necessary now, and when to consult other specialists or seek urgent care.

How the Consultation Takes Place

A consultation with a doctor begins with discussing your complaints and assessing your current condition. The doctor will listen to your concerns and develop a plan for further steps. The scope of any tests or examinations is determined individually and based on indications, in order to provide the most accurate understanding of the situation. A definitive diagnosis is not made during a single appointment – it is usually a preliminary evaluation and preparation for the next stage.

1. Clarifying complaints and the purpose of the visit: the doctor will ask what exactly is troubling you, how long symptoms have been present, what worsens or relieves them, and what your expectations are.
2. Collecting medical history and risk factors related to the problem, to understand possible causes and circumstances of the condition.
3. Reviewing previous tests and treatments if any, with a recommendation to bring all documents and a list of current medications to the appointment.
4. Conducting an examination and, if necessary, simple tests — all based on indications and taking into account individual needs.
5. Discussing the preliminary understanding of the situation: what might be the cause, what is important to rule out, without making a diagnosis online.
6. Developing a plan for further examinations: if needed, the doctor may recommend an ultrasound, blood tests, hysteroscopy, or other diagnostic methods.
7. Discussing options for ongoing management and treatment, including methods tailored specifically for you.
8. Determining the timeline and format for follow-up: when to schedule the next appointment, how to monitor your condition, and when it is necessary to seek urgent care.

If you are visiting for the first time, special attention will be given to clarifying symptoms and exploring possible causes. If previous treatment has not been effective, the doctor will thoroughly analyze the reasons for the lack of results and consider options for adjusting the plan.

This approach allows you to gain a clear understanding of your condition and to develop a safe and well-considered plan of action.

Preparation for the Appointment

To ensure an effective consultation with a gynecologist regarding uterine fibroids, it is important to prepare in advance. This will help to obtain an accurate assessment of your condition more quickly and to develop a proper treatment plan.

• Bring a list of all current medications (names, dosages, how you take them)
• Take results of previous examinations, ultrasounds, tests, and other studies
• Write down your main complaints: when they started, what worsens or relieves the symptoms
• Do not stop taking prescribed medications without consulting your doctor
• If instructed, come to the appointment on an empty stomach: do not eat or drink for 8–12 hours before the visit (unless otherwise advised, clarify when scheduling)
• Avoid using cosmetics and creams on the area that will be examined
• Bring a list of questions and observations you want to discuss
• If necessary, come with a companion for support or assistance
• Clarify any specific preparation requirements in advance when making the appointment if you have doubts
• Try to keep a symptom diary for a more accurate description of your condition

If in doubt — it is better to confirm the preparation details when scheduling and not to change medication intake without consulting your doctor.

About the Doctor

Roman Mikhailovich Banakhevich is a surgeon specializing in gynecology with over 20 years of experience. He focuses on the treatment of uterine fibroids and often assists patients with an initial diagnosis, recurring symptoms, chronic conditions, or lack of effect from previous treatments.

His approach emphasizes thorough analysis of complaints and dynamic monitoring, allowing for adjustments to the treatment plan as needed. Patients receive a comprehensive assessment of their condition and a clear plan of further actions tailored to the specifics of each case.

Why Patients Choose Dr. Roman Mikhailovich Banakhevich

When treating uterine fibroids, the doctor's approach is based on a thorough analysis of the condition and a personalized selection of tactics. Attention is paid not only to the symptoms but also to the causes of the disease and contributing factors. Patients are provided with a clear understanding of the treatment plan and monitoring criteria, which helps them make informed decisions and adapt to changes in their condition. You can come with the results of previous examinations — the doctor takes into account all available information for optimal management.

• A clear treatment plan with defined stages: initial measures, monitoring, and timing of follow-up visits
• Examinations are prescribed only as indicated, without unnecessary procedures or burdens
• Consideration of comorbidities and medications to safely tailor therapy
• Monitoring the condition's progress and timely adjustment of the plan if needed
• Detailed review of prior prescriptions and assessment of treatment tolerance
• Explanation of therapy goals, risks, and possible options without complicated terminology
• Emphasis on preventing complications and exacerbations during treatment
• Experience managing complex and recurring cases with a comprehensive approach

This thoughtful and transparent process helps patients better understand their condition and feel confident in the chosen treatment path. The doctor maintains communication at every stage, focusing on the individual specifics of each situation.

Case Studies

Initial Consultation for Suspected Uterine Fibroids

A middle-aged patient presented with complaints of irregular and heavy menstrual bleeding, as well as a feeling of heaviness in the lower abdomen. It was important to rule out other possible causes of bleeding and assess the size and location of the mass. A comprehensive examination and ultrasound assessment were performed. Over several weeks, symptom reduction and condition stabilization were observed. Further management includes regular monitoring and lifestyle recommendations.

Treatment Adjustment in Case of No Effect

A young woman presented with symptoms that persisted despite previously prescribed treatment. The main task was to revise the approach, taking into account intolerance to certain methods and the presence of comorbidities. The current therapy was analyzed and the examination plan was refined. After one month, improvements were noted at the follow-up visit—symptoms became less pronounced. Continued observation and treatment plan adjustments as needed are recommended.

Chronic Course with Comorbid Diagnoses

A patient with a long-standing condition and additional gynecologic diseases came for evaluation of the current status and selection of further strategy. It was necessary to consider all accompanying factors and ensure treatment safety. The examination emphasized a comprehensive approach. Subsequent visits showed symptom stabilization and treatment adaptation based on the evolving clinical picture. The plan includes dynamic monitoring and preventive measures.

Condition Exacerbation and Prevention Plan

A woman presented with increased pain and bleeding, requiring rapid assessment of the situation. It was important to exclude adverse complications and properly adjust treatment. An urgent examination was conducted, complaints and current status clarified. Following the prescribed measures, gradual stabilization of the condition was observed. Regular follow-up visits and preventive strategies are recommended to minimize the risk of recurrent complications.

Need for Second Opinion and Review of Examinations

A patient with an ambiguous history of previous examinations and treatment sought an additional opinion. The physician conducted a detailed analysis of the submitted documents and symptoms, highlighting key points requiring attention. Additional examination and clarifying investigations were performed as indicated. Based on the results, a plan for further monitoring and therapy adjustment was developed. The patient received explanations about possible options and criteria for evaluating treatment efficacy.

How long does the consultation last?

Usually, a consultation takes from 30 to 60 minutes; please check the details when making an appointment.

How to prepare for the appointment?

It is recommended to bring a list of symptoms, medications, and medical history. For other questions, please ask when booking.

What should I bring to the consultation?

Bring test results, analyses, medical records, and a list of medications you are taking.

Do I need to come on an empty stomach or are there any restrictions?

Usually, fasting is not required unless specifically instructed—please confirm when booking.

How many visits are usually needed for treatment?

The number of visits depends on the complexity of the case and chosen therapy; typically, several appointments are needed.

When can I expect to see the first results of the treatment?

Timing varies individually depending on the type of therapy and the body’s response.

What should I do if my condition worsens before the appointment?

If your condition worsens, seek emergency care, especially if you experience severe pain or bleeding.

Can treatment be combined with current medications?

We discuss interactions and possible adjustments during the appointment; do not change treatment on your own.

Is it possible to have an online consultation?

Yes, remote consultation is available if you have the necessary documents and symptoms.

Can I come with pre-existing test results?

Yes, bring all available results for a more thorough assessment.

Do I need to come back for follow-up appointments, and how often?

Follow-up visits are scheduled individually based on progress and treatment needs.

Can I get a second opinion from the doctor?

Yes, the doctor is always ready to discuss previously made diagnoses and test results.

What should I do if symptoms return after improvement?

Contact the doctor to clarify the situation and possibly adjust the treatment plan.

What tests are usually prescribed?

Examination tactics depend on symptoms and condition and are selected individually.

Can I change the treatment on my own between appointments?

We do not recommend changing or stopping treatment without consulting the doctor.

Are there any lifestyle restrictions during treatment?

Recommendations depend on your condition and will be discussed during the appointment.

How can I tell if the treatment is working?

We assess changes in symptoms and overall condition over time and discuss them during follow-up visits.

What should I do if I have many questions after the appointment?

You can request additional consultation or clarify details at your next visit.